SF273 (Legislative Session 94 (2025-2026))

Medically necessary dental procedures as a result of cancer treatment health plan coverage requirement provision

Related bill: HF488

AI Generated Summary

Purpose

To require health plans to cover medically necessary dental procedures that come directly from cancer treatment, and the related care needed to support those procedures.

Main Provisions

  • Health plans must cover medically necessary dental procedures that are the direct result of cancer treatment, including chemotherapy, biotherapy, and radiation therapy.
  • The coverage must include not only the dental procedures themselves but also evaluations and examinations, laboratory assessments, medications, and other treatments associated with those procedures.

Scope and Coverage

  • Applies to all health plans defined in Minnesota Statutes section 62Q.01.
  • Coverage is tied to dental care that is directly caused by cancer treatment, ensuring patients receive the dental services and related care needed as a result of cancer therapy.

Significance / Changes to Existing Law

  • Creates a new coverage obligation for health plans to pay for dental care related to cancer treatment, expanding what health plans must cover beyond standard dental care.
  • Emphasizes that coverage includes all connected services (evaluations, exams, labs, meds, and treatments) required for the medically necessary dental procedures.

Practical Impact

  • People undergoing cancer treatment who experience dental health needs directly caused by their cancer therapy would have those needs covered by their health plans, reducing out-of-pocket costs for necessary dental care and related services.

Relevant Terms

  • health plans
  • Minnesota Statutes section 62Q.01
  • cancer treatment
  • medically necessary dental procedures
  • direct result
  • chemotherapy
  • biotherapy
  • radiation therapy
  • evaluations
  • examinations
  • laboratory assessments
  • medications
  • treatments
  • coverage
  • Minnesota Statutes chapter 62Q

Bill text versions

Actions

DateChamberWhereTypeNameCommittee Name
January 21, 2025SenateActionIntroduction and first reading
January 21, 2025SenateActionReferred toCommerce and Consumer Protection

Progress through the legislative process

17%
In Committee
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